IV push, single drug at Jefferson Hospital. CPT 96374.
What Jefferson Hospital publishes for this service, straight from its standard-charges file, last updated April 14, 2026.
Outpatient / ER
$649cash price (self-pay)
$801list price
$29.67–$664range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Amerihealth | Amerihealth Caritas Medicare (NY) | $32.57 |
| Aetna | Aetna Better Health CHIP | $37.22 |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $42.81 |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $44.98 |
| Amerihealth | Amerihealth Caritas HC Medicaid | $44.98 |
| Geisinger | Geisinger CHIP | $47.30 |
| Geisinger | Geisinger Medicaid HC | $47.30 |
| United Healthcare | United Healthcare Medicaid | $47.30 |
| University of Pittsburgh Medical Center | University of Pittsburgh Med | $48.48 |
| Amerihealth | Amerihealth Medicaid CHC | $51.18 |
| Amerihealth | Amerihealth Medicaid HC | $51.18 |
| Highmark | Highmark Together Blue | $66.68 |
| United Healthcare | United Healthcare Of OH Medicaid | $72.24 |
| Highmark | Highmark My Direct Blue | $104 |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $123 |
| Highmark | Highmark Social Mission Indemnity | $130 |
| Highmark | Highmark Social Mission Managed Care | $130 |
| Highmark | Highmark My Blue Access | $137 |
| Highmark | Highmark Blue High Performance | $156 |
| Highmark | Highmark Performance Blue | $156 |
| Martin's Point | Martin's Point | $161 |
| Highmark | Highmark Connect Blue | $170 |
| Highmark | Highmark Community Blue Medicare PPO | $186 |
| Highmark | Highmark Complete Blue Medicare | $186 |
| Highmark | Highmark Community Blue | $187 |
| Highmark | Highmark Indemnity | $187 |
| Highmark | Highmark Managed Care | $187 |
| Highmark | Highmark Freedom Blue | $189 |
| American Health Plans | American Health Plans Medicare | $203 |
| Devoted Medicare | Devoted Health Medicare Advantage | $209 |
Inpatient
$649cash price (self-pay)
$801list price
$29.67–$119range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Univera | Univera Essential Plan | $29.67 |
| Univera | Univera Healthy New York | $29.67 |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $32.57 |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $32.57 |
| Highmark | Highmark Together Blue | $38.75 |
| Univera | Univera Medicare | $38.75 |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $40.95 |
| Highmark | Highmark Blue High Performance | $41.00 |
| Highmark | Highmark Community Blue | $41.00 |
| Highmark | Highmark Connect Blue | $41.00 |
| Highmark | Highmark Indemnity | $41.00 |
| Highmark | Highmark Managed Care | $41.00 |
| Highmark | Highmark My Blue Access | $41.00 |
| Highmark | Highmark My Direct Blue | $41.00 |
| Highmark | Highmark Performance Blue | $41.00 |
| Highmark | Highmark Social Mission Indemnity | $41.00 |
| Highmark | Highmark Social Mission Managed Care | $41.00 |
| Univera | Univera Commercial | $42.85 |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $44.98 |
| Amerihealth | Amerihealth Caritas HC Medicaid | $44.98 |
| Geisinger | Geisinger CHIP | $44.98 |
| Geisinger | Geisinger Medicaid HC | $44.98 |
| United Healthcare | United Healthcare Medicaid | $44.98 |
| Cigna | Cigna Commercial | $56.70 |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $68.52 |
| United Healthcare | United Healthcare Of OH Medicaid | $72.24 |
| United Healthcare | United Healthcare Commercial | $72.24 |
| Martin's Point | Martin's Point | $119 |
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